Henderson Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HENDERSON DENTAL PLLC

Practice address

425 E Tabernacle St
Saint George, UT 84770-2941

Phone

(435) 688-1400

Fax

(435) 608-4479

NPI assigned

Dec 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Henderson, DMDNPI 1821296484

Title

Owner

Phone

(435) 688-1400

Specialties & licenses 1

Addresses

Other names 1

• Dixie Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon David Henderson, D.M.D

  • General Practice Dentistry
  • St George, UT
  • NPI 1821296484
  NPD Authorized official
• John Wahlen

  • General Practice Dentistry
  • St George, UT
  • NPI 1477302644
  NPD
• Owen Courtney Allen, D.M.D.

  • General Practice Dentistry
  • St George, UT
  • NPI 1437340858
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1962210286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E TABERNACLE ST",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702941",
            "telephone_number": "435-688-1400",
            "fax_number": "435-608-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E TABERNACLE ST",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702941",
            "telephone_number": "435-688-1400",
            "fax_number": "435-608-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-1400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hearts Recovery
• Laura Helquist
• Linda M Helquist, MFT
• Dant David Hemming
• Samantha Hemming
• Brandon David Henderson, D.M.D
• Brooklyn Elizabeth Henderson
• Terrie Henderson
• John Wilson Hendleman, DO
• Brian James Hendrickson

• Dental Clinic/Center in Saint George, UT
• Providers in Saint George, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.